Construction of an entrustable professional activities framework for medical undergraduates

Qi Dianjun; Sun Wei; Jing Zhihong; Wang Xinyi; Liu Bing; Kan Dan

doi:10.3760/cma.j.cn116021-20230511-01438

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Construction of an entrustable professional activities framework for medical undergraduates

Research on entrustable professional activities | 更新时间：2023-11-01

- Construction of an entrustable professional activities framework for medical undergraduates
- Chinese Journal of Medical Education Research Vol. 22, Issue 10, Pages: 1446-1450(2023)
- 作者机构：
  
  1.中国医科大学附属第一医院全科医学科，沈阳　110001
  2.中国医科大学附属第一医院教务部，沈阳　110001
  3.中国医科大学附属第一医院肛肠外科，沈阳　110001
- 作者简介：
  
  Kan Dan, Email: kandan30@163.com
- 基金信息：
  
  Ordinary Higher Education Undergraduate Teaching Reform Research Project of Liaoning Province(LN20221015925);General Project of the 13th Five-Year Plan for Education Science of Liaoning Province in 2020(JG20DB456);Medical Education Research Project of Medical Education Branch of Chinese Medical Association and Medical Education Committee of Chinese Association of Higher Education in 2020(2020B-N02391);Undergraduate Teaching Reform Research Project of China Medical University(YDJG20230118)
- DOI：10.3760/cma.j.cn116021-20230511-01438
  CLC： R33
- Published：20 October 2023，
  
  Received：11 May 2023，
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齐殿君, 孙玮, 荆志鸿, 等. 临床医学专业本科生置信职业行为框架的构建[J]. 中华医学教育探索杂志, 2023, 22(10): 1446-1450.

Qi Dianjun, Sun Wei, Jing Zhihong, et al. Construction of an entrustable professional activities framework for medical undergraduates. [J]. Chinese Journal of Medical Education Research 22(10):1446-1450(2023)
齐殿君, 孙玮, 荆志鸿, 等. 临床医学专业本科生置信职业行为框架的构建[J]. 中华医学教育探索杂志, 2023, 22(10): 1446-1450. DOI： 10.3760/cma.j.cn116021-20230511-01438.

Qi Dianjun, Sun Wei, Jing Zhihong, et al. Construction of an entrustable professional activities framework for medical undergraduates. [J]. Chinese Journal of Medical Education Research 22(10):1446-1450(2023) DOI： 10.3760/cma.j.cn116021-20230511-01438.

摘要

目的

构建一种比较符合我国国情的临床医学专业本科生置信职业行为评价框架。

方法

采用德尔菲法构建临床医学专业本科生置信职业行为评价框架。选择来自全国各地的21名临床专家作为德尔菲法函询对象。拟进行两轮德尔菲咨询。

结果

21名专家全部完成了两轮德尔菲咨询。两轮函询的有效问卷回收率均为100.0%（21/21）。第一轮函询专家的置信职业行为重要性和可行性得分的

值分别为0.182和0.173（均

0.05），第二轮函询专家的置信职业行为重要性和可行性得分的

值分别为0.167和0.152（均

0.05）。第二轮德尔菲咨询结果显示，全部14个置信职业行为指标的重要性、可行性得分均

3.5分，变异系数均

0.25分。初步构建了12项临床医学专业本科生置信职业行为指标和42个观测评价要点，并确定了各置信职业行为在不同阶段的预期置信级别。

结论

初步构建了临床医学专业本科生置信职业行为评价框架，为我国临床医学专业本科生培养提供了一种新型评价手段。

Abstract

Objective

To construct an entrustable professional activities (EPAs) assessment framework for undergraduate medical students suited to the national conditions in China.

Methods

The Delphi method was used to construct an EPAs assessment framework for medical undergraduates. Twenty-one clinical experts across China were invited to participate in two rounds of Delphi consultation.

Results

All the 21 experts completed the two rounds of Delphi consultation. The effective questionnaire response rates of the two rounds of consultation were 100.0% (21/21). For the first-round expert consultation

the W values of importance and feasibility scores of EPAs were 0.182 and 0.173 (both

0.05)

respectively. For the second-round expert consultation

the W values of importance and feasibility scores of EPAs were 0.167 and 0.152 (both

0.05)

respectively. According to the second-round Delphi consultation

the importance and feasibility scores of all 14 EPAs indicators were

3.5 points

with the coefficients of variation

0.25 points. We preliminarily established 12 EPAs indicators and 42 key assessment points and determined the expected entrustment levels of each EPA at different stages for medical undergraduates.

Conclusion

This study preliminarily constructed an EPAs assessment framework for medical undergraduates

which provides a new evaluation method for the cultivation of medical undergraduates in China.

关键词

临床医学本科生置信职业行为岗位胜任力

Keywords

Clinical medicineUndergraduateEntrustable professional activitiesPost competency

references

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教育部临床医学专业认证工作委员会. 中国本科医学教育标准—临床医学专业（2022）[EB/OL]. (2022-12-31) [2023-01-11]. https://wcame.meduc.cn/show.php?cid=20&id=505https://wcame.meduc.cn/show.php?cid=20&id=505.

Association of American Medical Colleges. Core entrustable professional activities for entering residency: curriculun developers guide [EB/OL]. (2018-07-05) [2023-01-11]. https://store.aamc.org/downloadable/download/sample/sample_id/63/https://store.aamc.org/downloadable/download/sample/sample_id/63/.

Association of Faculties of Medicine of Canada. Entrustable professional activities for the transition of form medical school to residency [EB/OL]. (2018-07-05) [2023-01-11]. https://www.cma.cahttps://www.cma.ca.

齐殿君. 中国全科医学住院医师置信职业行为评价框架的构建与初步应用[D]. 沈阳：中国医科大学， 2022.

Weggemans MM, Ter Haar NM, Prakken B, et al. Developing entrustable professional activities for the training of translational scientists: a modified Delphi study [J]. Acad Med, 2021, 96(10): 1461-1466. DOI: 10.1097/acm.0000000000004130http://dx.doi.org/10.1097/acm.0000000000004130.

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